NPIMap

Organization Active NPI

Super Plus Hospice Inc

  • Community Based Hospice Care Agency
  • Fort Worth, TX
National Provider Identifier
1356771752
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUPER PLUS HOSPICE INC
Practice address
915 S Main St
Suite C
Fort Worth, TX 76104-3408
Phone
(817) 528-1832
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Baiju G Pillai
Title
Director
Phone
(817) 528-1832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

915 S Main St
Suite C
Fort Worth, TX 76104-3408

Mailing address

915 S Main St
Suite C
Fort Worth, TX 76104-3408
Phone (817) 528-1832

National Provider Directory

National Provider Directory

Locations

915 S Main St
Ste C
Fort Worth, TX 76104
Phone (817) 528-1832

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1356771752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S MAIN ST",
            "address_2": "SUITE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043408",
            "telephone_number": "817-528-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S MAIN ST",
            "address_2": "SUITE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043408",
            "telephone_number": "817-528-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER PLUS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "PILLAI",
        "authorized_official_first_name": "BAIJU",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-528-1832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.